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Proposed Scales for Measuring Suicidal Ideation in Adult Cancer Patients

机译:成人癌症患者自杀意念测量量表

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Suicidal ideation, which can occur in oncology patients, is associated with suffering and a reduced quality of life. Empirical studies indicate that the incidence of suicide in people with cancer is approximately twice that of the general population. Objective: This cross-sectional descriptive study was designed to establish the prevalence of suicidal ideation in adult oncology patients based on a combination of scales to measure this variable. Method: A battery of three instruments (Scale for Suicidal Ideation. Item 9 of Beck’s Depression Inventory, and a semi-structured interview) was used to make estimates that are not based on just one test and can thus make a comprehensive evaluation of suicidal ideation in the study sample. Four approximations, based on different items from suicidal ideation assessment scales, were developed to determine the most sensitive combination for identifying the presence of suicidal ideation in adult cancer patients. Results: The highest prevalence of suicidal ideation found with the proposed scales was 24.5% (CI = 16%-33%) with Scale 1; 23.6% (CI = 15.2%-32%) with Scale 2; and 19.1% (CI = 11.3%-26.9%) with Scale 4. The lowest prevalence of suicidal ideation was 17.3% (CI = 9.8%-24.8%) with Scale 3. Conclusions: Suicidal behavior in the oncology patient should be assessed; however, there is a need to select sensitive instruments that can be applied easily and are suitable for the target group, which faces difficulties in participating in extensive evaluations.
机译:可能在肿瘤患者中发生的自杀念头与痛苦和生活质量下降有关。实证研究表明,癌症患者的自杀发生率约为普通人群的两倍。目的:本横断面描述性研究旨在通过量表的组合来确定成人肿瘤患者自杀意念的发生率。方法:使用了三组工具(自杀意念量表。贝克抑郁量表的第9项和半结构化访谈)来进行估计,而不仅仅是基于一项测试,因此可以对自杀意念进行综合评估在研究样本中。根据自杀意念评估量表的不同项目,开发了四个近似值,以确定最敏感的组合,用于确定成年癌症患者中自杀意念的存在。结果:拟定量表的自杀意念患病率最高,量表1为24.5%(CI = 16%-33%)。等级2为23.6%(CI = 15.2%-32%);量表4的自杀意念率为19.1%(CI = 11.3%-26.9%)。量表3的自杀意念患病率最低为17.3%(CI = 9.8%-24.8%)。肿瘤患者应进行评估;但是,需要选择易于使用且适合目标人群的敏感工具,而这些目标在参与广泛评估时面临困难。

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